Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany
@article{Sandmann2015EconomicEO,
title={Economic evaluation of vitamin D and calcium food fortification for fracture prevention in Germany},
author={Arne Sandmann and Michael Amling and Florian Barvencik and H H K{\"o}nig and Florian Bleibler},
journal={Public Health Nutrition},
year={2015},
volume={20},
pages={1874 - 1883}
}Abstract Objective The study evaluates the economic benefit of population-wide vitamin D and Ca food fortification in Germany. Design Based on a spreadsheet model, we compared the cost of a population-wide vitamin D and Ca food-fortification programme with the potential cost savings from prevented fractures in the German female population aged 65 years and older. Setting The annual burden of disease and the intervention cost were assessed for two scenarios: (i) no food fortification; and (ii…
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There is enough clinical data demonstrating that an intake of vitamin D and calcium together sufficient to cover dietary requirements can greatly reduce the risk of osteoporotic fracture in older people, so recommended daily intake of dietary vitamin D is strictly correlated with age.
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Systematic vitamin D food fortification is an effective approach to improve vitamin D status in the general population and this has already been introduced by countries such as the US, Canada, India, and Finland.
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It is important to maintain correct dietary calcium-phosphate balance in order to have a healthy life, reducing the risk of osteoporotic fractures in older people.
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The strategy to include calcium in the fortification mix in fortified staple foods seems promising in these countries, however, potential undesired changes on the organoleptic characteristics of fortified foods and products thereof, and operational feasibility at the manufacturing site should be evaluated by the stakeholders during the planning stage.
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